Individual
DR. WILLARD JEFFERSON HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6116 E WARREN AVE, DENVER, CO 80222-5752
(303) 512-0888
(303) 512-2288
Mailing address
103 CONTINENTAL PL, SUITE 400, BRENTWOOD, TN 37027-1041
(615) 916-3200
(615) 658-8389
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19412
CO
207ZP0213X
Pediatric Pathology Physician
19412
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01194125
—
CO
05
—
641656
—
AZ
05
—
Z0733
—
UT
Enumeration date
03/17/2006
Last updated
03/11/2014
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